The purpose of the Hazelden Betty Ford Foundation's multidisciplinary Clinical Diagnostic Evaluation (CDE) is to determine whether or not a person is manifesting signs and symptoms of an addictive disease and/or a co–occurring psychiatric disorder. This in depth evaluation also assesses the individual's degree of physical, social, psychological, or cognitive impairment and, if requested, evaluates the person's current suitability for returning to work in a safety-sensitive position. At the conclusion of the evaluation, appropriate continuing care or treatment options, when indicated, are reviewed and discussed with the individual.
Although the CDE Program was originally designed to evaluate licensed professionals, we welcome the opportunity to assist anyone who is concerned about their use of substances and how their substance use might be impacting their overall health and functioning. The Clinical Diagnostic Evaluation is ideal for:
- Licensed professionals in safety-sensitive occupations. For example: physicians, nurses, EMS workers, therapists, airline pilots, aviation mechanics, police officers, attorneys, shipboard personnel;
- Corporate executives and others working in security–sensitive positions. For example: clergy, government officials, foreign service representatives, Homeland Security personnel;
- Alcoholics and/or addicts who have had difficulty remaining clean and sober despite their repeated best efforts;
- Persons wishing to obtain a second opinion on the validity of a diagnosis of alcohol and/or other drug dependence assigned to them through an intervention or by some other means.
The evaluation takes place on an inpatient basis, typically three nights and four days, depending on whether or not the patient requires detox or other services which prevent active participation in the evaluation process. Admission is on Sunday and discharge on Wednesday. Nearby hotels and lodging are available at reduced rates for family members if accompanying the patient.
We prefer that the patient participates in the evaluation process with his or her significant other or a concerned family member, colleague or friend. However, if that individual is unable to participate in person, the patient, once they begin the CDE, will be asked to allow the CDE Team to conduct telephone interviews with concerned persons.
The review of collateral information is essential to the CDE process. The patient will be asked to supply the CDE Team with relevant collateral documentation such as hospital, medical and treatment records, prior psychological and psychiatric evaluations, and legal documents (e.g., police reports) during the evaluation, or ideally, prior to beginning the evaluation.
If you, or someone you might know, would benefit from a Clinical Diagnostic Evaluation, please take the next step and call our Admissions Department for further information.
Our team during the evaluation process:
- Addiction Physician
- Registered Nurse
- Addiction Psychiatrist
- Evaluation Specialist
- CDE Coordinator
- Pre-admission telephone assessment
- Extensive collateral information is gathered including prior treatment records
- History & physical examination
- Laboratory evaluation, including urine drug screen and blood panel
- Nursing assessment
Neuro-psychological and psychiatric evaluation:
- Psychosocial assessment (Practice/workplace/and financial evaluation where applicable)
- Computer psychological testing (MMPI, Millon, MAST, MicroCog)
- Face-to-face comprehensive psychological evaluation (WAIS;TAT, RD)
- Psychiatric evaluation
Other items that may be included during the evaluation process:
- Contact collateral Informants
- Tour of Betty Ford Center (optional)
- Opportunity to meet with peer professionals already in treatment
Conclusions and recommendations process:
- Evaluation team meets with patient, S/O, and/or referent to review findings
- One-page summary of diagnosis, findings and recommendations sent to referent (and/or patient where appropriate) within 24 hours
- Individual reports from all testing and evaluation, including an integrated summary of findings and recommendations sent to referent within 14 days
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